SlideShare a Scribd company logo
1 of 46
Download to read offline
Neal Lesh
Computer science
applications to
improve health
delivery in
low-income
countries.
Neal lesh-1202742298252135-3 (5)
My Story
Mid-thirties computer researcher seeks
more fulfilling career. Goes back to
school then off to Africa. Discovers
things are more simple and more complex
than he originally imagined. Can't
imagine doing anything else...
Outline
• Background
The simplicity and complexity of global inequity
• Two examples
Patient record systems for AIDS treatment
Medical algorithms on handhelds
• Conclusion
Risk Factor
for surviving the Titanic.
0
10
20
30
40
50
60
70
1st 2nd 3rd
class of service
%survived
Poverty as a
Global Health
Simple Story
$$$$$$$$$$$$$$$$
$$$$$$$$$$$$$$$$
$$$$$$$$$$$$$$$$
$$$$$$$$$$$$$$$$
$$$$$$$$$$$$$$$$
$$$$$$$$$$$$$$$$
$
Infant
mortality: 5 per 1,000 births
Maternal
mortality: 8 per 100K births
Life expectancy: 78 years
Infant
mortality: 95 per 1,000 births
Maternal
mortality: 500-1000 per 100K
Life expectancy: 45 years
300-540
57
69
Simple Story
$$$$$$$$$$$$$$$$
$$$$$$$$$$$$$$$$
$$$$$$$$$$$$$$$$
$$$$$$$$$$$$$$$$
$$$$$$$$$$$$$$$$
$$$$$$$$$$$$$$$$
$
Simple Story
$$$$$$$$$$$$$$$$
$$$$$$$$$$$$$$$$
$$$$$$$$$$$$$$$$
$$$$$$$$$$$$$$$$
$$$$$$$$$$$$$$$$
$$$$$$$$$$$$$
$$$$ Infant
mortality: 95 per 1,000 births
Maternal
mortality: 500-1000 per 100,000
Life expectancy: 45 years
Simple Story
“We are the first generation
that can end poverty.”
-Eveline Herfkens, UN Millennium Campaign
Complexity
• Corruption, careerism, tax write-offs
• 5-star poverty alleviation meetings
• Unintended consequences, e.g., paying
volunteers
• Imperialism & foreign experts
“If you want to build a ship, don't drum up people to
collect wood and don't assign them tasks and work, but
rather teach them to long for the endless immensity of
the sea.”
– Antoine de Saint-Exupery
Information as Care
• Study: rigorous application of standard
treatment protocols reduced in-hospital
mortality in children’s malaria cases by 50%
• Clinician’s complaint: where are my lab
results?!
• Patient Knowledge Example: five danger signs
for seeking care during and after labor.
Outline
• Background
The simplicity and complexity of global inequity
• Two examples
Patient record systems for AIDS treatment
Medical algorithms on handhelds
• Conclusion
One year later
AIDS Treatment in Rural Rwanda
One year later
Improving Health Systems
One year later
Connecting to the Internet
Electronic Medical Record (EMR)
Patient Monitoring
Reports
Clinicians & Patients
Managers
EMR Staff
Paper forms
Program
Monitoring
Reports
Funder &
government
reports
$
Re-allocate
resources
Patient Monitoring
Missed-Visit List
ICT task: satisfy reporting requests
OpenMRS
• Open source framework for
medical record systems
• www.openmrs.org
Data Quality
• Mistyped IDs
• Missing &
conflicting data
• Backlog
Potential solution: point-of-care systems
Challenges & Opportunities
• Keep up with demand
• Increased impact on decision making
– Inform to Improve (I2I) teams
• Integration of lab and pharmacy components
• Detecting important trends in data
Outline
• Background
The simplicity and complexity of global inequity
• Two examples
Patient record systems for AIDS treatment
Medical algorithms on handhelds
• Conclusion
Rural Dispensary in Tanzania
Standardized Care (IMCI)
Standardized Care (IMCI)
Standardized Care (IMCI)
10
15
20
25
30
35
1999-00 2001-02
Annualmortalityrate
Morogoro (IMCI) Rufiji (IMCI)
Ulanga Kilombero
Tanzania: underfive mortality was 13% lower
in the two IMCI districts
Source: Schellenberg J et al
Full
IMCI
in HF
End of
study
13% difference
95% CI: -7%, 30%
Significant
impact on
stunting
Deploying IMCI
• IMCI
– Shown to reduce mortality and morbidity
– Adopted by ~100 countries
• But uptake not as good as hoped
– Training expensive
– Correct use tapers off over time
– Supervision challenging
Why Automate IMCI?
Why Automate IMCI?
• Improve adherence
• Improve
supervision
• Easier to update
• More sophisticated
protocols
• Reduced training
Field Work
Results to be published in CHI’08
How Automate IMCI?
Exploratory Study
• Pretesting & rapid iteration
• Structured interviews
• Observed trials w/
additional clinician to:
– Ensure safety
– Record adherence to IMCI
– Record time
Viral Training
Key Findings
• Must be
– Fast
– Flexible
– Improve adherence to IMCI
• Must address intentional deviation from IMCI
– Temperature, respiratory rate
– Advice
Adherence Results
Investigation
Current practice
adherence
e-IMCI
adherence
p-value
Vomiting 66.7% (n=24) 85.7% (n=28) -
Chest indrawing 75% (n=20) 94.4% (n=18) -
Blood in stool 71.4% (n=7) 100% (n=3) -
Measles in the last
3 months
55.6% (n=9) 95.2% (n=21) < 0.05
Tender ear 0% (n=1) 100% (n=5) -
All 61% (n=299) 84.7% (n=359) < 0.01
Triaging patients on
treatment for AIDS
(Study ongoing in
South Africa)
Counselors ask a series of questions leading to
a patient assessment.
e-CTC for HIV screening
CommCare
Start House Hold Visit
Plan Day
Explore Data
Exit
House Hold Visit (Task Queue)
000:04:56
Register Birth
Investigate Diarrhea of Sick Child
Review malaria bed nets
Topic of month: nutrition during
pregnancy
END VISIT
Day Planning
MKWERA : TB Referral (2 wks)
MKEA: Severe diarrhea (3 days)
CHUMA: late HH visit (3 months)
KAIGILE: routine HH visit
MGANDA: routine HH visit
EXIT
Outline
• Background
The simplicity and complexity of global inequity
• Two examples
Patient record systems for AIDS treatment
Medical algorithms on handhelds
• Conclusion
Conclusion
• Key points
– Must understand context
– Much potential, many challenges
– Keep it simple
• Challenges
– Evaluation, local ownership, I2I, duplication of
effort, …
Thank you!
neal@equalarea.com
Inshuti Mu Buzima
Partners In Health
PO Box 3432, Kigali, Rwanda

More Related Content

What's hot

Didier Delfort at Health Tuesday, 14 Jan 2014
Didier Delfort at Health Tuesday, 14 Jan 2014Didier Delfort at Health Tuesday, 14 Jan 2014
Didier Delfort at Health Tuesday, 14 Jan 2014Sitra / Hyvinvointi
 
Managing Bed Capacity Towards a Solution
Managing Bed Capacity Towards a SolutionManaging Bed Capacity Towards a Solution
Managing Bed Capacity Towards a SolutionSIMUL8 Corporation
 
Indiana ENA 2012 iPad & iPhone in ER
Indiana ENA 2012 iPad & iPhone in ERIndiana ENA 2012 iPad & iPhone in ER
Indiana ENA 2012 iPad & iPhone in ERAndrew J Bowman
 
Population Health Planning for Chronic Disease
Population Health Planning for Chronic DiseasePopulation Health Planning for Chronic Disease
Population Health Planning for Chronic DiseaseSIMUL8 Corporation
 
The U.S. Nursing Labor Market Report 2014
The U.S. Nursing Labor Market Report 2014The U.S. Nursing Labor Market Report 2014
The U.S. Nursing Labor Market Report 2014Identified
 
Remote Monitoring of Vital signs of Elderly in the Community: a Feasibility S...
Remote Monitoring of Vital signs of Elderly in the Community: a Feasibility S...Remote Monitoring of Vital signs of Elderly in the Community: a Feasibility S...
Remote Monitoring of Vital signs of Elderly in the Community: a Feasibility S...Dr. Wilfred Lin (Ph.D.)
 
Big Data: what it can bring
Big Data: what it can bringBig Data: what it can bring
Big Data: what it can bringAdrian Wong
 
Nyaya Health Ultrasound Program: Implications for Teleradiology in Resource-D...
Nyaya Health Ultrasound Program: Implications for Teleradiology in Resource-D...Nyaya Health Ultrasound Program: Implications for Teleradiology in Resource-D...
Nyaya Health Ultrasound Program: Implications for Teleradiology in Resource-D...Duncan Maru
 
Helen Figge Alere #MWC14 #mHealth
Helen Figge Alere #MWC14 #mHealthHelen Figge Alere #MWC14 #mHealth
Helen Figge Alere #MWC14 #mHealth3GDR
 
Team 8: Emergency reporting and referral network
Team 8: Emergency reporting and referral networkTeam 8: Emergency reporting and referral network
Team 8: Emergency reporting and referral networkJoanna Ashby
 
Evaluating National Malaria Programs’ Impact in Moderate- and Low-Transmissio...
Evaluating National Malaria Programs’ Impact in Moderate- and Low-Transmissio...Evaluating National Malaria Programs’ Impact in Moderate- and Low-Transmissio...
Evaluating National Malaria Programs’ Impact in Moderate- and Low-Transmissio...MEASURE Evaluation
 
Evaluation of the Impact of Malaria Control Interventions on All-Cause Mortal...
Evaluation of the Impact of Malaria Control Interventions on All-Cause Mortal...Evaluation of the Impact of Malaria Control Interventions on All-Cause Mortal...
Evaluation of the Impact of Malaria Control Interventions on All-Cause Mortal...MEASURE Evaluation
 
Moving Toward Improved Measurement of Malaria Mortality at the Population Level
Moving Toward Improved Measurement of Malaria Mortality at the Population LevelMoving Toward Improved Measurement of Malaria Mortality at the Population Level
Moving Toward Improved Measurement of Malaria Mortality at the Population LevelMEASURE Evaluation
 

What's hot (15)

Didier Delfort at Health Tuesday, 14 Jan 2014
Didier Delfort at Health Tuesday, 14 Jan 2014Didier Delfort at Health Tuesday, 14 Jan 2014
Didier Delfort at Health Tuesday, 14 Jan 2014
 
Nursing labor markets - an Introduction
Nursing labor markets - an IntroductionNursing labor markets - an Introduction
Nursing labor markets - an Introduction
 
Managing Bed Capacity Towards a Solution
Managing Bed Capacity Towards a SolutionManaging Bed Capacity Towards a Solution
Managing Bed Capacity Towards a Solution
 
Indiana ENA 2012 iPad & iPhone in ER
Indiana ENA 2012 iPad & iPhone in ERIndiana ENA 2012 iPad & iPhone in ER
Indiana ENA 2012 iPad & iPhone in ER
 
Population Health Planning for Chronic Disease
Population Health Planning for Chronic DiseasePopulation Health Planning for Chronic Disease
Population Health Planning for Chronic Disease
 
The U.S. Nursing Labor Market Report 2014
The U.S. Nursing Labor Market Report 2014The U.S. Nursing Labor Market Report 2014
The U.S. Nursing Labor Market Report 2014
 
Leyton Stevens
Leyton StevensLeyton Stevens
Leyton Stevens
 
Remote Monitoring of Vital signs of Elderly in the Community: a Feasibility S...
Remote Monitoring of Vital signs of Elderly in the Community: a Feasibility S...Remote Monitoring of Vital signs of Elderly in the Community: a Feasibility S...
Remote Monitoring of Vital signs of Elderly in the Community: a Feasibility S...
 
Big Data: what it can bring
Big Data: what it can bringBig Data: what it can bring
Big Data: what it can bring
 
Nyaya Health Ultrasound Program: Implications for Teleradiology in Resource-D...
Nyaya Health Ultrasound Program: Implications for Teleradiology in Resource-D...Nyaya Health Ultrasound Program: Implications for Teleradiology in Resource-D...
Nyaya Health Ultrasound Program: Implications for Teleradiology in Resource-D...
 
Helen Figge Alere #MWC14 #mHealth
Helen Figge Alere #MWC14 #mHealthHelen Figge Alere #MWC14 #mHealth
Helen Figge Alere #MWC14 #mHealth
 
Team 8: Emergency reporting and referral network
Team 8: Emergency reporting and referral networkTeam 8: Emergency reporting and referral network
Team 8: Emergency reporting and referral network
 
Evaluating National Malaria Programs’ Impact in Moderate- and Low-Transmissio...
Evaluating National Malaria Programs’ Impact in Moderate- and Low-Transmissio...Evaluating National Malaria Programs’ Impact in Moderate- and Low-Transmissio...
Evaluating National Malaria Programs’ Impact in Moderate- and Low-Transmissio...
 
Evaluation of the Impact of Malaria Control Interventions on All-Cause Mortal...
Evaluation of the Impact of Malaria Control Interventions on All-Cause Mortal...Evaluation of the Impact of Malaria Control Interventions on All-Cause Mortal...
Evaluation of the Impact of Malaria Control Interventions on All-Cause Mortal...
 
Moving Toward Improved Measurement of Malaria Mortality at the Population Level
Moving Toward Improved Measurement of Malaria Mortality at the Population LevelMoving Toward Improved Measurement of Malaria Mortality at the Population Level
Moving Toward Improved Measurement of Malaria Mortality at the Population Level
 

Similar to Neal lesh-1202742298252135-3 (5)

Clinical Genomics and Medicine
Clinical Genomics and MedicineClinical Genomics and Medicine
Clinical Genomics and MedicineWarren Kibbe
 
How Allina Health Uses Analytics to Transform Care - HAS Session 16
How Allina Health Uses Analytics to Transform Care - HAS Session 16How Allina Health Uses Analytics to Transform Care - HAS Session 16
How Allina Health Uses Analytics to Transform Care - HAS Session 16Health Catalyst
 
How will technology shape care delivery and design in future.
How will technology shape care delivery and design in future.How will technology shape care delivery and design in future.
How will technology shape care delivery and design in future.Architects for Health
 
Using Tablet Computers to Collect Data in a Rural Clinic
Using Tablet Computers to Collect Data in a Rural ClinicUsing Tablet Computers to Collect Data in a Rural Clinic
Using Tablet Computers to Collect Data in a Rural ClinicHealth Informatics New Zealand
 
Automated Abstracting - NCRA San Antonio 2015
Automated Abstracting - NCRA San Antonio 2015Automated Abstracting - NCRA San Antonio 2015
Automated Abstracting - NCRA San Antonio 2015Victor Brunka
 
Technology Assessment/Outcome & Cost-Effectiveness Analysis 2016
Technology Assessment/Outcome & Cost-Effectiveness Analysis 2016Technology Assessment/Outcome & Cost-Effectiveness Analysis 2016
Technology Assessment/Outcome & Cost-Effectiveness Analysis 2016evadew1
 
Technology Assessment, Outcomes Research and Economic Analyses
Technology Assessment, Outcomes Research and Economic AnalysesTechnology Assessment, Outcomes Research and Economic Analyses
Technology Assessment, Outcomes Research and Economic Analysesevadew1
 
Julian Flowers Erpho
Julian Flowers ErphoJulian Flowers Erpho
Julian Flowers Erphoenableeast
 
AHP Unscheduled Care Event 2019 (Morning Session)
AHP Unscheduled Care Event  2019 (Morning Session)AHP Unscheduled Care Event  2019 (Morning Session)
AHP Unscheduled Care Event 2019 (Morning Session)AHPScot
 
Big Innovation Conversation: E-Sepsis
Big Innovation Conversation: E-SepsisBig Innovation Conversation: E-Sepsis
Big Innovation Conversation: E-SepsisInnovation Agency
 
Leveraging Text Classification Strategies for Clinical and Public Health Appl...
Leveraging Text Classification Strategies for Clinical and Public Health Appl...Leveraging Text Classification Strategies for Clinical and Public Health Appl...
Leveraging Text Classification Strategies for Clinical and Public Health Appl...Karin Verspoor
 
Telemedicine in Skilled Nursing Facilities by Reza Sadeghian
Telemedicine in Skilled Nursing  Facilities by Reza SadeghianTelemedicine in Skilled Nursing  Facilities by Reza Sadeghian
Telemedicine in Skilled Nursing Facilities by Reza SadeghianReza Sadeghian
 
Dr Emmanuel Nsutebu - ECO 14: Patient Safety
Dr Emmanuel Nsutebu - ECO 14: Patient SafetyDr Emmanuel Nsutebu - ECO 14: Patient Safety
Dr Emmanuel Nsutebu - ECO 14: Patient SafetyInnovation Agency
 

Similar to Neal lesh-1202742298252135-3 (5) (20)

Salud Mesoamérica 2015 Initiative: Select results from the first operation me...
Salud Mesoamérica 2015 Initiative: Select results from the first operation me...Salud Mesoamérica 2015 Initiative: Select results from the first operation me...
Salud Mesoamérica 2015 Initiative: Select results from the first operation me...
 
Clinical Genomics and Medicine
Clinical Genomics and MedicineClinical Genomics and Medicine
Clinical Genomics and Medicine
 
How Allina Health Uses Analytics to Transform Care - HAS Session 16
How Allina Health Uses Analytics to Transform Care - HAS Session 16How Allina Health Uses Analytics to Transform Care - HAS Session 16
How Allina Health Uses Analytics to Transform Care - HAS Session 16
 
How will technology shape care delivery and design in future.
How will technology shape care delivery and design in future.How will technology shape care delivery and design in future.
How will technology shape care delivery and design in future.
 
Using Tablet Computers to Collect Data in a Rural Clinic
Using Tablet Computers to Collect Data in a Rural ClinicUsing Tablet Computers to Collect Data in a Rural Clinic
Using Tablet Computers to Collect Data in a Rural Clinic
 
Kho Amia2008 Demo Final
Kho Amia2008 Demo FinalKho Amia2008 Demo Final
Kho Amia2008 Demo Final
 
Automated Abstracting - NCRA San Antonio 2015
Automated Abstracting - NCRA San Antonio 2015Automated Abstracting - NCRA San Antonio 2015
Automated Abstracting - NCRA San Antonio 2015
 
Technology Assessment/Outcome & Cost-Effectiveness Analysis 2016
Technology Assessment/Outcome & Cost-Effectiveness Analysis 2016Technology Assessment/Outcome & Cost-Effectiveness Analysis 2016
Technology Assessment/Outcome & Cost-Effectiveness Analysis 2016
 
Technology Assessment, Outcomes Research and Economic Analyses
Technology Assessment, Outcomes Research and Economic AnalysesTechnology Assessment, Outcomes Research and Economic Analyses
Technology Assessment, Outcomes Research and Economic Analyses
 
Julian Flowers Erpho
Julian Flowers ErphoJulian Flowers Erpho
Julian Flowers Erpho
 
E health implementation challenges in sri lanka
E health implementation challenges in sri lankaE health implementation challenges in sri lanka
E health implementation challenges in sri lanka
 
SMP - Douglas Lungu
SMP - Douglas LunguSMP - Douglas Lungu
SMP - Douglas Lungu
 
AHP Unscheduled Care Event 2019 (Morning Session)
AHP Unscheduled Care Event  2019 (Morning Session)AHP Unscheduled Care Event  2019 (Morning Session)
AHP Unscheduled Care Event 2019 (Morning Session)
 
Big Innovation Conversation: E-Sepsis
Big Innovation Conversation: E-SepsisBig Innovation Conversation: E-Sepsis
Big Innovation Conversation: E-Sepsis
 
Qipp increasing productivity using existing resources
Qipp increasing productivity using existing resourcesQipp increasing productivity using existing resources
Qipp increasing productivity using existing resources
 
Leanlondon mar12 presentation
Leanlondon mar12 presentationLeanlondon mar12 presentation
Leanlondon mar12 presentation
 
Pavia wsp october 2011
Pavia wsp october 2011Pavia wsp october 2011
Pavia wsp october 2011
 
Leveraging Text Classification Strategies for Clinical and Public Health Appl...
Leveraging Text Classification Strategies for Clinical and Public Health Appl...Leveraging Text Classification Strategies for Clinical and Public Health Appl...
Leveraging Text Classification Strategies for Clinical and Public Health Appl...
 
Telemedicine in Skilled Nursing Facilities by Reza Sadeghian
Telemedicine in Skilled Nursing  Facilities by Reza SadeghianTelemedicine in Skilled Nursing  Facilities by Reza Sadeghian
Telemedicine in Skilled Nursing Facilities by Reza Sadeghian
 
Dr Emmanuel Nsutebu - ECO 14: Patient Safety
Dr Emmanuel Nsutebu - ECO 14: Patient SafetyDr Emmanuel Nsutebu - ECO 14: Patient Safety
Dr Emmanuel Nsutebu - ECO 14: Patient Safety
 

Recently uploaded

BENIGN BREAST DISEASE
BENIGN BREAST DISEASE BENIGN BREAST DISEASE
BENIGN BREAST DISEASE Mamatha Lakka
 
EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionkrishnareddy157915
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationMedicoseAcademics
 
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D.  Bawankar.pptPharmacokinetic Models by Dr. Ram D.  Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D. Bawankar.pptRamDBawankar1
 
How to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyHow to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyZurück zum Ursprung
 
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdfSGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdfHongBiThi1
 
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptxWINCY THIRUMURUGAN
 
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaMale Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaSujoy Dasgupta
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsMedicoseAcademics
 
Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Vaikunthan Rajaratnam
 
AORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectionAORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectiondrhanifmohdali
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu Medical University
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfDolisha Warbi
 
Using Data Visualization in Public Health Communications
Using Data Visualization in Public Health CommunicationsUsing Data Visualization in Public Health Communications
Using Data Visualization in Public Health Communicationskatiequigley33
 
Unit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptUnit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptPradnya Wadekar
 
historyofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusanguhistoryofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusangu Medical University
 
pA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologypA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologyDeepakDaniel9
 

Recently uploaded (20)

BENIGN BREAST DISEASE
BENIGN BREAST DISEASE BENIGN BREAST DISEASE
BENIGN BREAST DISEASE
 
EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung function
 
Biologic therapy ice breaking in rheumatology, Case based approach with appli...
Biologic therapy ice breaking in rheumatology, Case based approach with appli...Biologic therapy ice breaking in rheumatology, Case based approach with appli...
Biologic therapy ice breaking in rheumatology, Case based approach with appli...
 
Rheumatoid arthritis Part 1, case based approach with application of the late...
Rheumatoid arthritis Part 1, case based approach with application of the late...Rheumatoid arthritis Part 1, case based approach with application of the late...
Rheumatoid arthritis Part 1, case based approach with application of the late...
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
 
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D.  Bawankar.pptPharmacokinetic Models by Dr. Ram D.  Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
 
How to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyHow to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturally
 
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
 
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdfSGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
 
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
 
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaMale Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functions
 
Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.
 
AORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectionAORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissection
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
 
Using Data Visualization in Public Health Communications
Using Data Visualization in Public Health CommunicationsUsing Data Visualization in Public Health Communications
Using Data Visualization in Public Health Communications
 
Unit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptUnit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.ppt
 
historyofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusanguhistoryofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusangu
 
pA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologypA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacology
 

Neal lesh-1202742298252135-3 (5)

Editor's Notes

  1. I’m going to start with what somehow seems like a fun example, which is that if you bought a more expensive ticket on the titanic, not only do you get nicer food, but you’ve got a higher chance of surviving the trip, as shown in this graph. these numbers are real, though it would be a little more fair to show men, women, and children separately ... since this is one of the few cases of where being a woman or child is protective. but moving onto some statistics which I think is the most disturbing of the talk...
  2. Okay, so on to the world. And one thing about this talk and public health in general, in that it’s pretty focused on people and their basic needs. not so much the animals. not even so much the environment, though that’s certainly important for our health. but we can start with how many of us there are. and there’s about 6.1 billion people, and counting... and population growth is certainly a factor for public health
  3. Okay, so on to the world. And one thing about this talk and public health in general, in that it’s pretty focused on people and their basic needs. not so much the animals. not even so much the environment, though that’s certainly important for our health. but we can start with how many of us there are. and there’s about 6.1 billion people, and counting... and population growth is certainly a factor for public health
  4. Okay, so on to the world. And one thing about this talk and public health in general, in that it’s pretty focused on people and their basic needs. not so much the animals. not even so much the environment, though that’s certainly important for our health. but we can start with how many of us there are. and there’s about 6.1 billion people, and counting... and population growth is certainly a factor for public health
  5. Okay, so on to the world. And one thing about this talk and public health in general, in that it’s pretty focused on people and their basic needs. not so much the animals. not even so much the environment, though that’s certainly important for our health. but we can start with how many of us there are. and there’s about 6.1 billion people, and counting... and population growth is certainly a factor for public health
  6. Okay, so on to the world. And one thing about this talk and public health in general, in that it’s pretty focused on people and their basic needs. not so much the animals. not even so much the environment, though that’s certainly important for our health. but we can start with how many of us there are. and there’s about 6.1 billion people, and counting... and population growth is certainly a factor for public health
  7. Paying volunteers, discussing work-for-food programs over fancy dinner during famine,
  8. In Tanzania: under-5 mortality was 13% lower in the two IMCI districts compared to non-IMCI districts and there was a significant impact on stunting